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外周 NK 细胞动态变化预测接受免疫检查点抑制剂二线治疗的 PD-L1 阳性非小细胞肺癌患者结局

英文原题:Dynamic Changes of Peripheral NK Cells Predict Outcome in Patients with PD-L1 Positive Non-small-cell Lung Cancer Undergoing Immune Checkpoint Inhibitors as Second-line Therapy.

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Dynamic Changes of Peripheral NK Cells Predict Outcome in Patients with PD-L1 Positive Non-small-cell Lung Cancer Undergoing Immune Checkpoint Inhibitors as Second-line Therapy.

PubMed 2022/06/26(内容时间) Cancer Invest Q3 · IF 2.2(JCR 2025)

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中文摘要

本研究评估41名非小细胞肺癌(NSCLC)患者在接受二线抗PD-1/PD-L1治疗前后外周血免疫细胞比例的变化,并分析淋巴细胞亚群变化与临床应答、无进展生存期(PFS)及总生存期(OS)的关系。治疗后所有淋巴细胞亚群的中位水平均有上升,但只有NK细胞升高达到统计学显著。治疗后NK细胞水平较高与临床获益相关。多变量分析显示,肿瘤PD-L1比例评分≥1%及治疗后NK细胞计数较高,均可预测更长的PFS和OS。两项因素同时存在者生存期更长。

展开英文摘要原文

We evaluated immune cell frequencies in peripheral blood samples of 41 NSCLC patients before and after second-line therapy with anti-PD-1/PD-L1 agents. Changes in lymphocyte subsets and their correlation with clinical response, progression-free survival (PFS), and overall survival (OS) were analyzed.

We observed an increase in median values of all lymphocyte subsets, being significant only for NK cells. A correlation was retrieved between higher post-treatment NK cell level and clinical benefit . On multivariate analysis, PD-L1 tumor proportion score 1% and higher post-treatment NK cell counts were predictive of longer PFS and OS. Co-presence of these factors was characterized by longer survival.

论文信息

作者
Nelli F、Panichi V、Fabbri A、Natoni F、Giannarelli D、Topini G、Virtuoso A、Giron Berrios JR
单位
Department of Oncology and Hematology, Medical Oncology, Central Hospital of Belcolle, Viterbo, Italy.Italy
期刊
Cancer investigation2022 Sep
原文标识
PubMed 35736808 · DOI 10.1080/07357907.2022.2092635